Rare form of intestinal obstruction strangulation

1997 ◽  
Vol 78 (2) ◽  
pp. 129-130
Author(s):  
S. V. Dobrokvashin ◽  
Yu. V. Bondarev ◽  
A. Kh. Davletshin
Keyword(s):  
Intestinal Obstruction ◽  
Rare Form ◽  
Obturator Foramen ◽  
Internal Hernias ◽  
Ligament Of Treitz ◽  
Semilunar Line

Rare forms of strangulated intestinal obstruction constantly attract the attention of surgeons. The latter include impinged internal hernias in the inner ring of inguinal and femoral canals, under the ligament of Treitz, in the ring of the vermiform process, in the diaphragm orifices, semilunar line, and obturator foramen. These forms occur in 1-2% of all cases of strangulated intestinal obstruction.

Hernia interna estrangulada por plastrón en el tercio distal del apéndice cecal

2019 ◽  
Vol 62 (6) ◽  
pp. 24-27
Author(s):  
Leslie M. Leyva Sotelo ◽  
José E. Telich Tarriba ◽  
Daniel Ángeles Gaspar ◽  
Osvaldo I. Guevara Valmaña ◽  
André Víctor Baldín ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Early Diagnosis ◽  
Intestinal Obstruction ◽  
Acute Abdomen ◽  
Internal Hernia ◽  
Wide Spectrum ◽  
Internal Hernias ◽  
Mild Abdominal Pain ◽  
Made In

Internal hernias are an infrequent cause of intestinal obstruction with an incidence of 0.2-0.9%, therefore their early diagnosis represents a challenge. The most frequently herniated organ is the small bowel, which results in a wide spectrum of symptoms, varying from mild abdominal pain to acute abdomen. We present the case of an eight-year old patient with nonspecific digestive symptoms, a transoperative diagnosis was made in which an internal hernia was found strangulated by plastron in the distal third of the appendix. Appendectomy was performed and four days later the patient was discharged without complications.

META-ANALYSIS ON ETIOPATHOGENESIS OF SMALL BOWEL OBSTRUCTION IN THE DEPARTMENT OF GEN. SURGERY P.M.C.H. & K.M.C.H., BIHAR

2021 ◽  
pp. 1-3
Author(s):  
Abhishek Chaudhary ◽  
Kanchan Sone Lal Baitha ◽  
Yasir Tajdar
Keyword(s):  
Small Intestine ◽  
Small Bowel ◽  
Abdominal Surgery ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Meta Analysis ◽  
Ileocaecal Valve ◽  
Time Period ◽  
Ligament Of Treitz

Background:The small intestine is the longest and convoluted portion in the digestive tract. It starts from pylorus and ends at ileocaecal valve. The small bowel consists of three parts measuring about 5 to 6 meters. The rst 25cm is the duodenum. Out of the rest part of small gut, jejunum th th. constitute the proximal 2/5 and ileum distal 3/5 The jejunum and ileum extend from the peritoneal fold that supports the duodeno-jejunal junction (Ligament of Treitz) down to ileocaecal valve. Material and Methods:All the patients admitted to PMCH, Patna and KMC, Katihar as intestinal obstruction was included for the study. The time period of study was from October 2014 to November 2016 in PMCH and December 2016 to January 2019 in KMC, Katihar. Out of all Intestinal obstruction 59 cases only of adult small gut obstruction were recorded for comparison and conclusive study.Conclusion: Small bowel obstruction remains a frequently encountered problem in abdominal surgery. Although modern day surgical management continues to focus appropriately on avoiding delayed operation, whatever surgery is indicated, not every patient is always best served by immediate operation

scholarly journals Strangulated internal hernia through the lesser omentum with intestinal necrosis: a case report

2002 ◽  
Vol 120 (3) ◽  
pp. 84-86 ◽  
Author(s):  
Gustavo Gibin Duarte ◽  
Belchor Fontes ◽  
Renato Sérgio Poggetti ◽  
Marcos Roberto Loreto ◽  
Paulo Motta ◽  
...  
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Internal Hernia ◽  
Clinical Manifestations ◽  
Acute Intestinal Obstruction ◽  
Main Task ◽  
Intestinal Necrosis ◽  
Lesser Omentum ◽  
Lesser Sac ◽  
Internal Hernias

CONTEXT: Internal hernias account for only 0.2 to 0.9% of the cases of intestinal obstruction. They do not have specific clinical manifestations, and are usually diagnosed during laparotomy for acute intestinal obstruction. Internal hernias through the lesser omentum are extremely rare. CASE REPORT: We report here the case of a 36-year-old patient who underwent exploratory laparotomy for acute intestinal obstruction. An internal hernia through the lesser omentum was found, with a strangulated ileal segment passing through the perforation into an abscess within the lesser sac. The surgical procedures included ileal resection, primary anastomosis, abscess removal, and placement of a drain in the lesser sac. The patient was reoperated 6 days later for abdominal sepsis; a lesser sac abscess was removed and the abdominal incision was left open. The patient stayed in the Intensive Care Unit for 15 days, and eventually left the hospital on the 28th post-admission day, with complete recovery thereafter. CONCLUSION: The early diagnosis of acute intestinal obstruction and immediate indication for laparotomy is the main task of the surgeon when faced with a case of acute abdomen with a hypothesis of internal hernia, so as to minimize severe postoperative complications, as illustrated by the present case.

scholarly journals Pericecal hernia: a rare form of internal hernias

2012 ◽  
Vol 2013 (2) ◽  
Author(s):  
Svetlana Kleyman ◽  
Shafia Ashraf ◽  
Sherin Daniel ◽  
Dinesh Ananthan ◽  
Aliu Sanni ◽  
...  
Keyword(s):  
Rare Form ◽  
Internal Hernias ◽  
Pericecal Hernia

scholarly journals Familial Near-Total Intestinal Aganglionosis

2017 ◽  
Vol 6 (3) ◽  
pp. 62 ◽  
Author(s):  
Saida Hidouri ◽  
Hayet Zitouni ◽  
Jamila Chahed ◽  
Sana Mosbahi ◽  
Samia Belhassen ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Rare Form ◽  
Total Intestinal Aganglionosis ◽  
Intestinal Aganglionosis

Near total aganglionosis represents the most extreme and rare form of Hirschsprung's disease. It can affect more than one member of family. We report three cases of near total intestinal aganglionosis in a family presenting with intestinal obstruction at birth. All of them were operated and a jejunostomy was performed. Outcome was dismal.

Internal Hernia: Postoperative Complication of Roux-en-Y Gastric Bypass Surgery

2006 ◽  
Vol 72 (7) ◽  
pp. 581-585 ◽  
Author(s):  
Aaron Eckhauser ◽  
Alfonso Torquati ◽  
Yassar Youssef ◽  
Joan L. Kaiser ◽  
William O. Richards
Keyword(s):  
Gastric Bypass ◽  
Length Of Stay ◽  
Intestinal Obstruction ◽  
Internal Hernia ◽  
The United States ◽  
Morbidity And Mortality ◽  
Transverse Mesocolon ◽  
Surgical Morbidity ◽  
Internal Hernias ◽  
Clinical Awareness

Obesity surgery is becoming one of the most common general surgery procedures done in the United States. Internal hernias are a known and increasingly more common occurrence after laparoscopic roux-en-Y gastric bypass (LRYGB). Increased clinical awareness of this complication will lead to decreased surgical morbidity and mortality. We retrospectively reviewed our database of 529 patients who had undergone LRYGB from 2000 to 2005 and identified those presenting with intestinal obstruction from an internal hernia. The type of internal hernia (jejunojejunostomy, transverse mesocolon, roux limb mesentery [Peterson's hernia]), length of time from presentation to operative intervention, and length of stay were obtained for all patients. Of 529 laparoscopic retrocolic retrogastric LRYGBs, 13 internal hernias (2.5%) were identified in 13 different patients. Eight of the hernias were at the mesenteric defect created by the jejunojejunostomy (62%), 3 originated from the transverse mesocolon defect (23%), and 2 were a Peterson's hernia (15%). The median time from initial operation to repair was 150 days. The average time from presentation to operative repair was 29.2 hours (range, 5–67.5 hours). The median length of stay was 3 days (range, 1.5–45 days). Eleven hernias were repaired laparoscopically (85%). There were no mortalities associated with obstruction from the internal hernia. Intestinal obstruction from an internal hernia after LRYGB is becoming increasingly more common. General awareness of this condition and high clinical suspicion allow for prompt surgical intervention with decreased morbidity and mortality.

scholarly journals Inverted bladder diverticulum with sigmoid colon herniation masquerading as bowel and bladder obstruction

2018 ◽  
Vol 5 (11) ◽  
pp. 3767
Author(s):  
Pratima . ◽  
Abhilash . ◽  
Suma S ◽  
Krishna Prasad
Keyword(s):  
Intestinal Obstruction ◽  
Sigmoid Colon ◽  
Internal Hernia ◽  
Bladder Diverticulum ◽  
Surgical Experience ◽  
Bladder Obstruction ◽  
Internal Hernias ◽  
Abdominal Organs ◽  
Bladder Diverticula ◽  
Primary Bladder

Urinary bladder diverticula can be congenital or acquired, and the latter tends to occur in older men and results from urinary obstruction. Primary bladder diverticula are congenital, smooth walled, solitary in nature and rarely diagnosed in adults. An internal hernia (IH) is a protrusion of intestines or other abdominal organs through a normal or abnormal orifice in the peritoneum or mesentery, occasionally leading to strangulation or incarceration. Internal hernias (IH) are rare causes of acute abdomen and intestinal obstruction in adults. Here we present a case report detailing the authors' surgical experience with inverted bladder diverticulum, presenting as internal hernia with sigmoid colon herniating through it, with features of acute intestinal obstruction and urinary dysfunction.

scholarly journals A Rare Case of Intestinal Obstruction from Internal Hernia through a Foramen Formed by Appendices Epiploicae – A Case Report and Review of Literature

2020 ◽  
Vol 8 (C) ◽  
pp. 4-6
Author(s):  
Thomas Olagboyega Olajide ◽  
Olanrewaju Balogun
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Surgical Intervention ◽  
Internal Herniation ◽  
Review Of Literature ◽  
Improve Outcome ◽  
Internal Hernias ◽  
Appendices Epiploicae ◽  
High Index Of Suspicion

BACKGROUND: Internal hernias are uncommon causes of acute abdomen and intestinal obstruction. Internal herniation due to appendices epiploicae is very rare with only six cases reported in the literature.CASE REPORT: We, herein, present the report of a 64-year-old female who presented with features of intestinal obstruction due to internal herniation of a loop of small intestine through an orifice formed by the fusion of two appendices epiploicae. The band was divided into release the entrapped loop of bowel.CONCLUSION: A high index of suspicion with prompt surgical intervention will improve outcome.

scholarly journals LEFT PARA-DUODENAL HERNIA

2016 ◽  
Vol 23 (02) ◽  
pp. 238-240
Author(s):  
Asrar Ahmad ◽  
Irum Saleem ◽  
Nisar Ahmed ◽  
Farrukh Ayub
Keyword(s):  
Intestinal Obstruction ◽  
Internal Hernia ◽  
High Index ◽  
Paraduodenal Hernia ◽  
Internal Hernias ◽  
High Index Of Suspicion

Internal hernia is defined as herniation of viscera through a defect in themesentery or peritoneum. Internal hernias can cause intestinal obstruction. Paraduodenalhernias though a rare cause of intestinal obstruction, are more common on the left side. Thesehernias may cause strangulation and gangrene of the intestines so a high index of suspicion isrequired for diagnosis. Treatment is always surgical. We hereby report a case of acute intestinalobstruction due to left paraduodenal hernia.

scholarly journals LEFT PARADUODENAL HERNIA: A CASE REPORT OF RARE CAUSE OF INTESTINAL OBSTRUCTION

2021 ◽  
Vol 9 (01) ◽  
pp. 186-188
Author(s):  
Ahbala T. ◽  
◽  
Rabbani K. Lammat H ◽  
Louzi A ◽  
◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Internal Hernia ◽  
University Hospital ◽  
Paraduodenal Hernia ◽  
Diagnostic Challenge ◽  
Rare Type ◽  
Internal Hernias ◽  
Uncommon Condition ◽  
Surgery Department ◽  
Hospital Center

Internal hernia is a relatively uncommon condition and is a rare type of intestinal obstruction. Paraduodenal hernia is considered the most common type of internal hernias. The rare prevalence and the variable symptoms make the clinical diagnosis of paraduodenal hernia a diagnostic challenge. We present the case of acute intestinal obstruction by left para-duodenal internal hernia treatedat the general surgery department of the Mohammed VI University Hospital Center in Marrakech, Morocco inorder to contribute to the knowledge of the clinical particularities of this entity.

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